HEATHER DAWN BOURASSA CCC-SLP
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1104466739- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CCC-SLP
- Status
- Active
Contact & Location
- Address
- 15875 NEW HALLS FERRY RD, FLORISSANT, MO, 630311225
- Phone
- (314) 953-5400
Specialties & Taxonomies
Speech-Language Pathologist,
Primary License: MO #2019045240